Extra -and intracerebral course of the recurrent artery of Heubner

• Autorzy: Maga P. , Tomaszewski K. A. , Pasternak A. , Zawilinski J. , Tomaszewska R. , Gregorczyk-Maga I. , Skrzat J.
• Języki publikacji: EN

Abstrakty

EN

Background: The aim of the current study was to analyse the extra- and intracerebral course of the recurrent artery of Heubner (RAH) to provide detailed information for neurosurgeons operating in this area. Materials and methods: The material for this study was obtained from cadavers (ages 31–75 years) during routine autopsies. A total of 70 human brains (39 male and 31 female) were examined. The material was collected not later than 48 h post-mortem. People who died due to neurological disorders were not included into the study. Right after dissection the arteries were perfused with either acrylic paint emulsion, polyvinyl chloride or Mercox CL-2R resin, through the Circle of Willis or electively through the RAH. The obtained material was analysed using a stereoscopic light microscope, magnification 2–40 x. Results: The RAH was present in 138 hemispheres with a mean of 1.99 RAH per hemisphere (275 RAH in total). The mean RAH length was 25.2 mm and the mean RAH diameter, in its place of origin, was 1 mm. In 168 (61%) cases the RAH ran superiorly, in 88 (32%) cases anteriorly, in 11 (4%) cases inferiorly and in 8 (3%) cases posteriorly to the A1 segment. In 70.2% of the cases the course of the RAH was parallel to the anterior communicating artery A1 segment, and in 29.8% of the cases the RAH arched towards the olfactory tract. As the extracerebral course of the RAH was always tortuous, its length was 1 to 5 times the distance between its place of origin and the most lateral point of anterior perforated substance (APS) penetration. The intracerebral course of the RAH was almost always univectorial — towards the head of the caudate nucleus. The course of RAH branches depended on their number. When the number of RAHs and their branches was low, they separated immediately after penetrating the APS and formed multiple small branches. When the number of RAHs and branches was high, post-APS branching was less frequent and occurred in distal segments. Conclusions: The origin and course of the RAH is highly variable. The RAH, in its extra- and intracerebral course, may join with the middle group of the lenticulostriate arteries or directly with the middle cerebral artery. This artery should be routinely identified during anterior communicating artery aneurysm clipping to prevent postoperative neurological deficits. (Folia Morphol 2013; 72, 2: 94–99)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2013
• Tom: 72
• Numer: 2
• Opis fizyczny: p.94-99,fig.,ref.

Twórcy

autor

Maga P.

• Department of Angiology, Jagiellonian University Medical College, Krakow, Poland

autor

Tomaszewski K. A.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31–034 Krakow

autor

Pasternak A.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31–034 Krakow

autor

Zawilinski J.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31–034 Krakow

autor

Tomaszewska R.

• Department of Pathology, Jagiellonian University Medical College, Krakow, Poland

autor

Gregorczyk-Maga I.

• Department of Paediatric Dentistry, Institute of Dentistry, Jagiellonian University Medical College, Krakow, Poland

autor

Skrzat J.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31–034 Krakow

Bibliografia

• 1. Clara M (1953) Das Nervensystem des Menschen. Georg Thieme, Leipzig, pp. 45–51.
• 2. Gomes F, Dujovny M, Umansky F, Ausman J, Diaz FG, Ray WJ, Mirchandani HG (1984) Microsurgical anatomy of the recurrent of Heubner. J Neurosurg, 60: 130–139.
• 3. Gorczyca W, Mohr G (1987) Microvascular anatomy of Heubner’s recurrent artery. Neurol Res, 1987; 9: 259–264.
• 4. Heubner O (1872) Zur Topographie der Ernährungsgebiete der einzelnen Hirnarterien. Zentralbi Med Wiss, 10: 817–821.
• 5. Izci Y, Seckin H, Medow J, Turnquist C, Baskaya M (2009) Sulcal and gyral anatomy of the orbitofrontal cortex in relation to the recurrent artery of Heubner: an anatomical study. Surg Radiol Anat, 31: 439–445.
• 6. Kaplan HA (1965) The lateral perforating branches of anterior and middle cerebral arteries. J Neurosurg, 23: 305–310.
• 7. Loukas M, Louis RG Jr, Scott Childs R (2006) Anatomical examination of the recurrent artery of Heubner. Clin Anat, 19: 25–31.
• 8. Loukas M, Louis RG, Childs RS (2006) Anatomical examination of the recurrent artery of Heubner. Clin Anat, 19: 25–31.
• 9. Marinkovic S, Milisavljevic M, Kovacevic M (1986) Anatomical bases for surgical approach to the initial segment of the anterior cerebral artery. Microanatomy of Heubner’s artery and perforating branches of the anterior cerebral artery. Surg Radiol Anat, 8: 7–18.
• 10. Mizia E, Tomaszewski KA, Lis GJ, Goncerz G, Kurzydło W (2012) The use of computer-assisted image analysis in measuring the histological structure of the human median nerve. Folia Morphol, 71: 82–85.
• 11. Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, Holman R (2002) International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial. J Stroke Cerebrovasc Dis, 11: 304–314.
• 12. Perlemuter D, Rhoton AL Jr (1975) Microsurgical anatomy of the anterior cerebral–anterior communicating-recurrent artery complex. J Neurosurg, 45: 259–272.
• 13. Pityński K, Skawina A, Lipczyński W, Polakiewicz J, Walocha J (1996) The posterior gastric and superior polar arteries in human fetuses. Folia Morphol, 55: 43–49.
• 14. Pityński K, Skawina A, Polakiewicz J, Walocha J (1998) Extraorganic vascular system of adrenal glands in human fetuses. Ann Anat, 180: 361–368.
• 15. Tran-Dinh H (1986) The accessory middle cerebral artery: a variant of the recurrent artery of Heubner (A. centralis longa?). Acta Anat, 126: 167–171.
• 16. Vasović L, Ugrenović S, Jovanović I (2009) Human fetal medial striate artery or artery of Heubner. J Neurosurg Pediatr, 3: 296–301.
• 17. Walocha JA, Litwin JA, Bereza T, Klimek-Piotrowska W, Miodoński AJ (2012) Vascular architecture of human uterine cervix visualized by corrosion casting and scanning electron microscopy. Hum Reprod, 27: 727–732.
• 18. Walocha JA, Litwin JA, Miodoński AJ (2003) Vascular system of intramural leiomyomata revealed by corrosion casting and scanning electron microscopy. Hum Reprod,18: 1088–1093.
• 19. Walocha JA, Miodoński AJ, Nowogrodzka-Zagórska M, Kuciel R, Gorczyca J (2002) Application of a mixture of glycol polyethylenes for the preparation of microcorrosion casts: an observation. Folia Morphol, 61: 313–316.
• 20. Walocha JA, Szczepański W, Miodoński AJ, Gorczyca J, Skrzat J, Bereza T, Ceranowicz P, Lorkowski J, Stachura J (2003) Application of acrylic emulsion Liquitex R (Binney and Smith) for the preparation of injection specimens and immunohistochemical studies: an observation. Folia Morphol, 62: 157–161.